He started his political activism against the Taliban militants in 2010. "In those days, it was very difficult to talk against the Taliban in Peshawar, but we would stage public protests and chant slogans against them, visit injured victims and condole the bereaved, and urge people displaced by the fighting to address the real issue," he said. The Taliban threatened him that he was on their hit list, forcing him to sell his clinic and move his family. He went underground, constantly changing his location with the help of his relatives and friends.[6]
In April 2014, he founded the civil society organization Pashtunkhwa Ulasi Tehrik.[7] Later, he became the Khyber Pakhtunkhwa government’s technical expert on China–Pakistan Economic Corridor (CPEC).[3]
Said Alam's name was placed on the Exit Control List by the Government of Pakistan on 8 December 2018 because of his association with PTM, barring him from leaving the country. He submitted a petition against it at the Peshawar High Court, in which he argued that he was ill and needed to go to England to seek treatment. The court ordered the Ministry of Interior to remove his name from the list to enable him to travel abroad.[10][11]